Sunday, December 15, 2013

My elderly parent needs help—should I start with Home Care?

By Bob Gregory


Judy Garland
Cover of Judy Garland
If aging were a game, then Independence would be its name!  There is really no such thing as aging gracefully because most of us, regardless of how old, are fighting aging with everything we have—including our savings.  I often hear from colleagues that the cry from the elderly population is to remain at home for as long as possible.  The term “Aging in Place” has become a battle cry for many elderly as they do not wish to give up their homes, which to most, equate to their independence.  The famous line by Judy Garland “there’s no place like home” resonates among our elderly population because after all, there is no place like home!  However, sometimes our elderly need help to accomplish everyday tasks and we, their children, family members or guardians cannot always be there to provide the help.  So what do we do to help our parents remain at home and thus, independent?

First, I recommend you have your parent evaluated to make sure there are no major underlying medical issues that need to be addressed.   This is always a good first step when you believe your elderly parent needs additional help—find out why so you can make an informed decision.  Assuming the doctor sees no particular medical illness that would require medical services, then have a discussion with your parent about the type help they feel they need.  I also recommend you observe your parent doing daily tasks so you can make an assessment of your own.

For most elderly parents needing assistance, it is usually for chores they are no longer able or comfortable attempting on their own.  This is where Home Care (the non-medical Home Care) can be of great help and extend your parent’s independence.  Some common areas elderly need non-medical help include:

Light Housekeeping                Eating                          Medication Management
Laundry                                  Dressing                      Errands
Meal Preparation                     Bathing                       Shopping
Companionship                       Toileting                      Transportation
Bill Paying                              Continence                  Gardening

Once you and your parent determine the type help needed, you can set a schedule for when services are rendered.  Home Care companies are very flexible so you can customize a schedule that will suit your parent’s needs and lifestyle.  You will also want to consider the cost of the services as you create the schedule.  Medicare’s home health care benefit is limited and does not cover most non-medical home care services that Medicare categorizes as Homemaker or Custodial Care Services.  Most of the time, Home Care is paid from the savings or financial resources of the individual receiving care. This is commonly referred to as private pay or out-of pocket payment.  However, check with your State as some provide help for low-income seniors.

Helping Grandmother WalkAlso, I encourage you not to overlook the “companionship” portion of Home Care.  Often, elderly feel alone and isolated and that can cause everyday chores to seem impossible to complete.  I encourage you to interview several Home Care services and make sure your parent is comfortable with the individual that will be providing the services.  Your parent may go to great links to stay independent and in their own home, but you will find they are very particular about who they allow to provide care!  Finally, don’t let a Home Care provider take your place when it comes to providing care and companionship—they are there to complement you and not to replace you!

If would like a list Home Care Agencies, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Tuesday, November 26, 2013

The perfect gift for an elderly parent in a Senior Facility!

By Bob Gregory

It’s that time of year again and the commercials on TV are already telling us that Black Friday shopping will begin early on Thanksgiving Day—for your convenience, of course!  I’m sure by now you have your list and you’re checking it twice, but are you stumped as to what to give your elderly parent who resides in a Senior Facility?  Every year I am asked for recommendations on gifts to give elderly parents and I have even written a helpful blog full of ideas (What gifts for the Holiday are appropriate for my parent is in a Senior Facility?) that I refer people for ideas.  This year is no different and the questions are already being asked in the wake of the upcoming shopping frenzy beginning on Thanksgiving. 

Family
Family (Photo credit: betta design)
This year was a little different for me as I confidently referred people to my blog post.  I took the time to sit back and ponder all the gifts that I gave my mother that brought her joy during the holidays as she spent her last few years in a Senior Facility.  Yes, most of the gifts I gave can be found in the post, but the gift that I gave that was the “best ever” was the gift of my time.  It was really that simple and it took me a while to realize how precious the gift of time can be for someone who has so little left, yet spends so much of it apart from loved ones.  The Holidays are always a mad, frantic rush for most of us with so much to do and so little time to do it in.  We are lucky to show up to our own parties, dinners and even Christmas with so much preparation required to have the “perfect” Holiday!

Each year I took great joy in giving my Mother what seemed to be the perfect Christmas gift.  They were always very appropriate for her age and living quarters at the Senior Facility and she always appreciated the gifts and showered me with hugs and kisses.  However, what I recall she enjoyed most was me taking the time to sit and visit—the gift of time!  Looking back, I realize I didn’t really need to bring a gift; I just needed to be there with her and enjoy our time together.  After all, that’s really what brought her the most joy.  The real “best ever” gift would have been one extra visit or even one extra hour.

Christmas gifts.
 (Photo credit: Wikipedia)
Gifts are wonderful and fun to give and receive but what we all need in our lives is more time.  I’m not just referring to extra hours in the day to complete our daily demands or even extra time on Earth to accomplish our destinies; I’m referring to the time we get to spend with our loved ones.  Our children grow up and move on so quickly we can’t remember it happening!  At the same time, our parents grow older and move on to 
another life just as quick. This year, if you want to give the perfect gift, I encourage you to give the gift of time—your time.  Spend that extra hour or make that extra trip to visit.  If you do so, I think you may be surprised that you will also receive a wonderful gift!

If would like a list Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.


Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Tuesday, November 12, 2013

Do you or an elderly parent have the Holiday Blues?


By Bob Gregory


Holiday HDR
Holiday HDR (Photo credit: Christopher S. Penn)
Yes, the Holidays are once again upon us!  It’s that happy time of year when family and friends gather to share friendship, love, food, drink and gifts.  The Holidays are filled with dinners, parties, shows and good times.  They are also filled with lots of traveling and visiting distant relatives or friends.  We get a chance to catch up on what’s going on in everyone’s lives as well as reminisce about the good ole days.  All we have to do to enjoy the Holidays is to survive the stress!  Yes, the shopping, planning, preparing, traveling and deadline meeting can create a great deal of stress even if all you have to do is sit back and watch someone else do it all for you!  It’s no wonder why some people, especially our elderly, seem to have the “Holiday Blues”.

I often hear how people sometimes feel depressed around the Holidays and they don’t understand why.  This is especially true for the elderly.  To begin, Holidays do not cause Depression!  Depression is a medical condition and should be treated as such.  Its causes are much more profound than a “time” of year known as the Holidays.  If you feel you or an elderly parent may be Depressed, then see your doctor immediately…you need to seek treatment.  I do not want to confuse what I term as the “Holiday Blues” with the medical condition of Depression because they are not the same and while Depression is common in older adults, it is not caused by aging.

Most anyone can experience Holiday Blues but they seem to be more prevalent in our elderly.  I’ve spoken with quite a few elders who tried to describe why they feel “blue” or down during the Holidays and they all refer to many similar causes. 

Some common causes for the Holiday Blues:

  1. Feelings of loss—Holidays are generally highlighted by family and friends getting together to enjoy each others’ company and share the joy of the Season.  If you are fortunate to live a long life and you are counted among the group we refer to as our Elderly, then you have certainly lost family members and friends.  Most family or friends who have passed on are missed most during the Holidays—that time when all use to gather.  Remembering the loss of family or friends can certainly make anyone feel blue and not having them around to reminisce about the past or create new memories can certainly make you feel sad.
  2. Feelings of loneliness—Not everyone has family and friends to visit during the Holidays, especially those in Senior Facilities.   Most Senior Facilities do a great job decorating and 
    Holiday Blues
    Holiday Blues (Photo credit: CJ Schmit)
    providing entertainment and activities but it’s very easy to still feel lonely in the middle of a crowd, especially if you miss being with family and friends.
  3. Financial Stress—Holidays are a time for shopping for gifts, new outfits, decorations, party supplies and holiday trimmings.  However, for those struggling financially, it can be very “depressing” not to be able to afford all the goodies that tempt our purse during the Holidays.
  4. Physical or mental illnesses—There is nothing that dampers the Holiday Spirit more than being ill!  It can be very saddening to have the desire to participate in Holiday festivities and yet be too ill.
Understanding the causes doesn’t necessarily make Holiday Blues easier to accept or cope with, but it can be a step toward combating the “blues”.  The great thing about speaking with people who understand what makes them blue during the Holidays is they usually have a coping technique or two!  These may sound simple, but they are easier to write about than to practice:

Some techniques to cope with the Holiday Blues;

  1. Focus on the positives of your life today and in the past.  Old memories of good times can provide comfort and warmth especially if you share those memories with new friends!  Find the good points of your life—they’re present but you may have to look for them.
    Holiday Sing-a-Long
    Holiday Sing-a-Long 
  2. Give of yourself.  This is probably one of the most positive coping skills I’ve come across.  If you take the time to look around you, you will certainly find someone whose life isn’t quite as fulfilled as yours.  Take the time to do something good for someone who does not have as much in their life as you.  Take the time out of your life to share a kind word, happy memory or just listen to the other person’s woes.  You’ll be surprised at how good both of you will feel.
  3. Accept other peoples’ kindness graciously.  If you are feeling down, it’s very hard to allow someone else to “cheer” you up.  Make an effort to be receptive to others attempts to help you! 
If you have an elderly parent in a Senior Facility, take the time to make their Holidays a little more cheery!  Keep in mind we all will age and the examples we set for our children with our own parents may determine how you will spend your Holidays in the future!  If you don’t have elderly parents, then try to be a friend to someone who does not have family.  Most Senior Facilities will certainly connect you with a resident in need of Holiday Cheer!

If would like a list Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Wednesday, October 16, 2013

Senior Tips: Strengthening the Hip Joints

Jen Juneau, Guest Blogger

Doctors perform hundreds of thousands of hip replacement surgeries in the United States every year, and most of the recipients are seniors. A debilitating fall is often the reason for hip replacement.

As we age, our bones become more brittle. Fortunately, by focusing on diet and exercise, you can strengthen your hips and hopefully avoid hip replacement surgery – or put it off for a long time.

Dietary Considerations

Think about it: When you give your body foods that aid in digestion and regulation, it doesn’t have to work as hard, which means less stress on the body. Additionally, a change to a healthier diet often leads to weight loss, which means your body is putting less pressure on your joints—including your hips!

Aim to cut out some of the junk and instead incorporate foods rich in fiber, such as fruits, nuts and seeds, leafy vegetables and whole-grain breads. Drinking six 8-oz glasses of water is recommended. Help your body, and it will help you.

Benefits of Exercise

When considering exercise to help strengthen your hips, it is important to remember three things:

  1. Choose exercises that are weight bearing, so your joints get the most out of the movement.
  2. Make sure you ease into the exercise slowly.
  3. Do something you enjoy, and switch it up.

There are so many activities to choose from. Even walking provides a great range of motion for the hips while staying low impact—and you can customize your walks by length, terrain, speed and more. Other popular low-impact activities include yoga, Pilates, swimming, cycling and even dancing! You should aim to get about 30 minutes of weight-bearing activity three or four times a week, but remember: Start small.

Hip Implants: What You Should Know

With strong hip joints, you may be able to avoid hip replacement. That’s especially good news considering the dangerous complications associated with some hip implants. Metal-on-metal hip devices, which have two or more metal components, can lead to serious injury.

The devices in question are made by DePuy, Stryker, Smith & Nephew, among others. In fact, these manufacturers are facing thousands of lawsuits over their hip implants.

If you do need to have your hip replaced, make sure to do your research and speak to your doctor about your options before undergoing surgery.

Jen Juneau writes for Drugwatch.com. She is proud to educate others on the adverse effects of dangerous drugs and medical devices, and feels enriched in helping them make the right decisions.

If you would like a list Independent Living Facilities, 55+ Communities, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com.

If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

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Thursday, August 29, 2013

It’s Hot Outside! Do you know how to protect yourself from Heat Related Illnesses?

By Bob Gregory,

The calendar indicates that September is just around the corner but that doesn't mean cooler weather is just a week away. It’s still very hot outside and high temperatures can be very stressful on all of us but even more so for our elderly.  The elderly are less adaptable to high temperatures and therefore more likely to suffer from hyperthermia or heat exhaustion.  Further, high temperatures can easily escalate certain medical conditions and some medications may cause dehydration during periods of high temperatures.   In the case of the body reaching temperatures of 104 or greater, heat stroke becomes a serious risk!  So what precautions should the elderly take to avoid heat related illnesses?
  
Here are some tips to avoid heat related illnesses:

  • Stay cool!  Sounds simple but staying cool may be difficult if you don’t have air conditioning. Try wearing light weight and loose fitting clothing.
  • Avoid going out in the middle of the day and limit your physical activities.  Perform chores and run errands in early morning or late afternoon.
  • Drink plenty of non-alcoholic fluids to stay hydrated and avoid too much caffeine
  • Cover your windows to block the sun and its heat
    5 Ways To Stay Cool In The Summer While Engagi...
  • Use fans to circulate the air but avoid sitting directly in front as of the fan as that may cause dehydration.
  • Take frequent, cool showers to keep your body temperature down.
  • Seek shade and rest often if you must be outside.
  • Spend time at a community center or mall that has air conditioning.
  • Consult with your physician or pharmacist regarding medication and dehydration.
  • Know the warning signs of heat related illnesses.
  • Run appliances that cause heat such as the oven, stove, clothes dryer or iron only in the early morning or late afternoon.

Heat Exhaustion
Heat Exhaustion (Photo credit: Alex Clark)
Traveling can be a hassle any time but especially when the weather is very hot.  However, it may be worth the trip if you have relatives that have air conditioning and someone who can help keep an eye on you and your health.  If you live alone or even with your spouse, make sure you have a friend stay in touch with you to make sure you are doing alright as you fight this hot weather.  If you have an elderly parent or friend, check on them often and visit whenever possible.  It’s easier to notice signs of heat related illnesses when you see someone as opposed to speaking on the phone.  Also, familiarize yourself with the symptoms of heat illnesses and always error on the side of caution if you feel medical treatment is advisable.

Warning Signs of Heat Exhaustion:
·         Excess and heavy sweating




Heat Stroke - Christmas???
Heat Stroke  (Photo credit: Choconancy1)
·         Muscle cramps
·         Dizziness or fainting
·         Headache
·         Nausea or vomiting

Warning Signs of Heat Stroke:
·         Extremely high body temperature (above 103° F orally)
·         Red, hot and dry skin with no visible signs of sweating
·         Throbbing Headache
·         Dizziness and Nausea
·         Confusion
·         Unconsciousness

Knowing these warning signs and acting can help save a life.  As I mentioned earlier, error on the side of caution and involve professional medical help early.  Anyone who has ever cared for an elderly person also knows many of the above warning signs are common to other issues and the heat can exasperate other issues as well. There are several steps you can take in the event you believe someone is suffering from a heat related illness.  The most important is to seek medical treatment—I can’t stress this enough.

What to do if you believe someone is suffering from heat related illness:
·         Seek professional medical help!
·         Get the individual to a cool shady place.
·         Provide cool non alcoholic beverages to drink
·         Get them into a cool shower or bath.
·         Loosen clothing and remove any excess layers of cloths

Summer may be with us for quite a while so don’t let the date on your calendar trick you into dropping your guard when it comes to heat related illnesses.  Enjoy the rest of your summer but please take care of yourself and your elderly parents!

If you would like a list Independent Living Facilities, 55+ Communities, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.


Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Wednesday, June 12, 2013

Stimulation is the key to a long happy and healthy retirement.

By Bob Gregory

I know the title seems to simplify the whole quandary of how to live long and happy but when you choose your retirement home, stimulation is the key!  Retirement means so many things to so many different people that it is really hard to define.  For most, it means the time of life where we choose not to work any longer and enjoy our free time until we leave this world.  In today’s economy, more and more people are delaying the time they choose to retire for financial reasons.  We seem to have a much older retirement population than in the past as concerns of money to support a retirement life style causes most to continue working to their later years.  According to the Gallup Economic and Personal Finance survey, the average U.S. retirement ages is now 61, up from 57 two decades ago.  Further, non-retired Americans now plan to retire at 66 or later. So how does a later retirement date impact retirement years?  It’s simply physiological—everyone’s body and mind changes with age so the longer you wait to retire, the more likely your body and mind will be affected by the aging process!

Here are some very important factors when choosing your retirement home/setting:

TRICYCLE CLUB OF THE CENTURY VILLAGE RETIREMEN...
TRICYCLE CLUB OF THE CENTURY VILLAGE RETIREMENT COMMUNITY MEETS EACH MORNING - NARA - 548572 (Photo credit: Wikipedia)
v  Physical Stimulation: If you are at the age where you pay close attention to commercials on TV or on the web advertising retirement living, then you probably have noticed they no longer depict a couple sitting in a front porch swing watching clouds pass by while sipping coffee.  Retirement living is very different today as we better understand the role of physical activities in living longer and healthier.  Because of this fact, it is very important to choose a community where you will remain physically active.  Physical activity does not necessarily mean you need to have a strict workout regimen at the gym every day or take spinning classes.  Instead, you need to find activities you enjoy and that do not become a “requirement” of your daily life.  For those of you that find a daily workout regimen at the gym or spinning classes enjoyable—I applaud you!  For the rest who of you who do not want to spend your time in the gym, look for a community that provides fun activities you enjoy such as tennis, golf, walking, dancing, horseback riding, biking, swimming and so on.  There are so many choices in retirement communities today and you are sure to find one that accommodates your taste in physical activities.  You can also find retirement communities that are located near your favorite activities if the community itself does not provide the activities you seek.  I also encourage you to participate in physical activities that require socializing to help stimulate your mind!

v  Mental Stimulation:  We all know how important it is to keep our minds sharp and some retirees-to-be wonder how they will transition from the “work world” to retirement where the misconception is they will wander mindlessly around a retirement village.  Retirement communities are filled with fun physical activities as I discussed above and today, more retirement communities are also focusing on the mental stimulation as well.  Many communities offer book clubs, current event discussions, social functions for interacting, community governance commitees, organized speakers and lectors, poetry writing clubs, access to a wide variety of periodicals and journals and more than I can list.  It is also  important that you take responsibility for your own mental wellbeing and find activities that will not  only continue to stimulate your mind and help you grow as a person, but will be enjoyable and  
Book Club
Book Club (Photo credit: Editor B)
      rewarding.  Today, most communities are looking for retired individuals to volunteer to teach reading, writing, mathematics, and computer skills to children and adults.  Communities seek volunteers with the time and skills to help others in the community.  There are quite a few mentoring programs that most communities seek help to staff.  There should be little excuse for you to sit around and do nothing with all those wonderful years of knowledge you have accumulated—share some of it with those who need it!

Staying active in your retirement years will help assure you will have a long and healthy retirement.  Keep in mind that it is not only physical activity but mental activity as well that you need as you live on.  There are many options in retirement living and you will be surprised how the industry has embraced the need to stay physically and mentally active.  Further, make sure that the retirement community you choose is also located near outside activities you enjoy such as plays, concerts, and community services.  Take the time in your research to find retirement communities that offer both types of stimulations that suit you best—you will be happy you did for a lot longer!

If you would like a list Independent Living Facilities, 55+ Communities, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

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Thursday, June 6, 2013

Will Home Care help my parent remain in their Independent Living Facility?

By Bob Gregory

It’s natural for an elderly parent to want to remain independent for as long as possible but sometimes they need some help and that creates a dilemma for the entire family.  If your elderly parent is living in their own home or have already transitioned to an Independent Living Facility but require help, don’t immediately think it’s time to make a move to an Assisted Living Facility as there may be another solution to extend your parent’s independence and help them remain in their own home!  Today, many informed seniors are electing Home Care to help them remain in their homes for as long as possible.  There are really two distinct types of Home Care and one may very well fit your parent.

Home Care Companionship/Personal Care.  This type of Home Care is non-medical and is available to help your parent.  This type of service offers both domestic and personal assistance and can be for as little as a few hours a week or 24 hours a day for as long as needed.  There are two main areas of focuses for this service:

Domestic Care Services:
·         Light housekeeping. Chores such as vacuuming, mopping, sweeping, cleaning bathrooms, laundry and most any light work you predefine.
·         Cooking services. Preparing home-cooked meals that meet nutrition standards either daily or preparing several meals for refrigerating.
Cooking!
Cooking! (Photo credit: Webb Zahn)
·         Errands. Give them a list and they will get your errands done for you. This is especially great for those who have trouble driving.  You may also have them drive you to get your shopping completed and help with packages.
·         Companionship.  This is especially important for seniors who find themselves confined to their home and unable to get out socializing.  They will provide conversation, play board games or cards or just simply enjoy a watching television.
·         Organization.  This may include helping get bills paid on time, reminders to take medication, attend important appointments or organize a closet or cabinets to make them more accessible.

Personal Services:
Helping Grandmother Walk
Helping Walk (Photo credit: Rosie O'Beirne)
·         Mobility assistance.  This includes helping with walkers or wheelchair or giving a steady hand to go on a walk.  It may also include moving from bed to chair or repositioning to protect skin and muscles.
·         Personal Hygiene.  This may include bathing, hair washing and trimming nails.  It may also include toileting and dealing with Incontinence.

Do not confuse this type of service with housekeeping or maid services even though they will provide some of these services.  These professionals are usually trained to not only perform tasks for the senior they service, but to also provide a warm and endearing atmosphere to help stimulate and encourage the senior they serve.  Be sure to define all the types of services that are required up front so that there is no misunderstanding or friction between the service provider and the senior.

therapy in the mirror
therapy (Photo credit: gaspi *yg)
Home Health Care.  Home Health Care is very different from the Companionship or Personal Care.  Service is provided by a trained and licensed health care specialist.  They do not perform domestic chores but may offer personal services as part of their service.  This type of service is generally best suited for transition back home after being treated in the hospital.  Typically, after a fall or a life changing event, an elderly patient will be treated in a hospital, and then transferred to a Skilled Nursing Facility for short term rehabilitation (usually less than 90 days).  After a hospital stay and rehab, the patient is used to an environment where sleep is intermittent and physical rehab is intense.  Once all this is complete, the patient is not really used to doing things for themselves or they are in need of additional less intense rehabilitation to get them accustomed to being more independent.  In this situation, Home Health Care is able to be contracted to come into the home and teach the patient to do their own medications, work with the home environment and adapt it properly to meet the changing needs of the patient and/or continue with less intense physical therapy.

Home Care may be a good solution to help extend you or your elderly parent’s independence.  There are many agencies that provide these services.  You may also find individuals who provide these services independently.  Be sure and do a thorough check of the individual or the agency before contracting for services.  You should also ask for references and follow up on and check out the references.  An advantage of using an agency is that they pre-screen all their employees, but check the agency’s references to make sure they are reputable.  Also, some of the services provided may be covered by your insurance (usually the medical services) so be sure and inquire. Finally, make sure you are very detailed in the services you need so that there are no unexpected charges for services that you need but forgot to mention!

If you would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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Monday, June 3, 2013

Should I use the Senior Facility’s Pharmacy or keep my own?



By Bob Gregory

This question arises often as the elderly transition to Senior Facilities.  As we grow older, we tend to see our doctors and pharmacists more frequently than someone younger than 60 years old and thus, we build a very personal relationship with our medical “team”.  Transitioning away from your home is stressful enough, but the thought of changing the medical team you trust can cause great distress.  I have personally had my pharmacist contact my doctor to alert him that two drugs he prescribed for me did not mix!  That’s the kind of people you want on your team and you don’t want to trade players!  You do have a choice, but most Senior Facilities encourage you to use their pharmacy—strongly encourage you to use their pharmacy.  I recently asked an owner of an Assisted Living Facility in Florida why they “strongly” encourage residents to use their pharmacy and I was a little surprised at his answer.  I will repeat his answer here as given to me for your consideration.

Reasons to use the facility pharmacy…

  • Using a facility’s house pharmacy may cost you a few pennies more than running to your local drug store, Publix, Wal-Mart or Costco for prescription drugs or bulk over-the-counter drugs.  However, convenience is a huge factor in running around collecting all the prescriptions from the physicians, filling the prescriptions and delivering them to the facility in a timely manner.  Assisted Living Communities can get in a lot of trouble if the medication is not available for distribution exactly as ordered by the physician.  Timeliness is extremely important.
  • Facility House Pharmacies deliver once or twice daily to the community, depending on the size of community or urgency of the medication.  The pharmacies are on call 24 hours a day and have a very quick turnaround, ensuring the patient gets the medication the same day.
    Medical Drugs for Pharmacy Health Shop of Medicine
    Medical Drugs for Pharmacy Health Shop of Medicine (Photo credit: epSos.de)
  • The medication is packaged to make it easier for the facility techs and nurses to accurately distribute, store and re-order the medications as needed, before they run out to ensure no interruption in dosages given.  This packaging also allows for ease in medication inventory so staff can accurately document and understand changes in a resident’s condition as a result of being given the medication.
  •  The inventory can also aid the facility staff in having the physician re-assess the medications and have PRN (as-needed) medications discontinued if they are not needed after a 30 day period.  This can save the resident and family considerable money on an annual basis. 
  • Most facilities use pharmacies that are geographically local to the communities and work with a myriad of insurance companies including Medicare D programs.
  • Having the volume at the community, the  House Pharmacies are usually good about re-evaluating the residents’ formulary to ensure the resident is paying the least amount possible by making sure most of the prescriptions are covered by their insurance companies and qualify for the lowest possible co-pays.

I also asked the tough question as to whether the pharmacy gave “perks” to the owners for the increased business and I was assured the perks came in the form of better service for their residents and overall lower cost for the residents.  I was pleased to hear that answer as we have all heard of companies “buying” business or serving the good of the owner and not the customer!  As I read back through the notes, I noticed the common theme in his answer was convenience and cost savings.  The convenience was shared by both the resident and the facility while the cost savings were those of the residents.  He also encouraged me to advise readers to ask for a comparison of cost of the drugs you are currently purchasing and compare to the cost using the House Pharmacy.  Be sure to factor in your time to get the drugs, gas or taxi fees and just the hassle of keeping up with reordering. 

As far as your medical team, it is going to grow larger as you will have lots of individuals providing care for you or your elderly parent at the Senior Facility.  Hopefully those relationships will grow and flourish as you enjoy your new home!  I hope this information helps your decision or at least provides another point of view on using the “house pharmacy” at a Senior Facility. 

If you would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
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We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
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